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Published Online:https://doi.org/10.1176/ajp.128.3.267

Most patients receiving chronic hemodialysis consider withdrawing from it if the "quality of life" available to them and/or their families is not sufficient. It would benefit most patients to openly discuss this option with the staff early in the program, thus making it a legitimate topic for discussion later when they may consider it more strongly. The authors' data suggest that this procedure will decrease the morbidity and mortality of patients receiving dialysis.

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